Organization
D19CRISIS
Active
Parent organization
D19CSB
Other names
Surry Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
D19CSB
Authorized official
MR. ROD TPSISTIS LPC (EMERGENCY SERVICES MANANGER)
(804) 541-6704
Entity
Organization
Contact information
Practice address
20 W BANK ST, PETERSBURG, VA 23803-3279
(804) 541-6704
(804) 541-6708
Mailing address
20 W BANK ST, PETERSBURG, VA 23803-3279
(804) 541-6704
(804) 541-6708
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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